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06/11/2004 14:44 209-836- 130 <br />PAGE 01 <br />DATEwICZ/1 t Irliv, <br />SAN JOAQUIN COUNTY PRN - <br />ENVIRONMENTAL HEALTH DEPARTMENT PAGE <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />T <br />UNDERGROUND STORAGE TANK (UST) PROGRAWINSPECTION R&eRT <br />Facility Name i(OK" &AAW1 Facility Addressol <br />Facilty Contact! Phone# <br />UST#,Product ?I_ UST#Product UST# -1 Prod uct--4?1_UST# Product <br />Overfill Prevention: ClAudibleAhWal //Product <br />Monitoring Panel: <br />Piping System: 0 Gravity 4Pressure 0 Suction.Violations: ?Dinorl'i aj-or <br />es 0 <br />Automatic. Pump Shut Down Satisfies CCR 2636 (g). 0 Yes "0 Dispenser Pan: No <br />INSPECTION TYPE: MRoutine Wonitoring Certification CComplaint DInstall DRemoval oRepair/Upgrade <br />TECHNICIAN NAME: <br />0. <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />I <br />HSC 25284 <br />Permit to operate <br />2 V CCR 2637 <br />Secondary cont testing (6 <br />21 <br />✓ <br />month/36 month) <br />3 CCR 2711(b) & (c) <br />Current State Forms A & B <br />4 <br />HSC 25292.2 <br />Certification of financial <br />24 <br />CCR 2643 (d) <br />responsibility and letter from <br />chief financial officer <br />5 <br />✓—CCR 2630 (d) <br />Continuous monitoring system <br />25 <br />CCR 2636 (a) <br />for UST system <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />flow to a collection sump <br />7 <br />HSC 25291 (e) <br />Water in secondary (20) cant <br />8 HSC 25291 (0 <br />Automatic line leak detector(s) <br />9=CCR <br />2836 (f)(1) <br />Continuous monitoring system <br />monitored <br />27—CCR <br />for underground piping <br />10 <br />CCR 2632 (c)(2) <br />Continuous monitoring system <br />29 <br />HSC 25286 (a) <br />for LIST <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for <br />30 <br />HSC 25298 (a) <br />UST is tight <br />12 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />31 <br />HSC 26298 (b) <br />for dispenser system <br />13 <br />CCR 2636 (b)(1) <br />Spill container <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />15 <br />CCR 2631 a) <br />Primary containment is product - <br />tight <br />16 <br />—HSC 25292.1 <br />UST system is operated to <br />prevent unauthorized release <br />17 <br />CCR 2650 <br />Recording/reporting <br />H&SC 25299(a)(9) Disabling leak detect. devices <br />37 <br />unauthorized release <br />18 w/ CCR 2632 (d) <br />i/—CCR <br />Monitoring & response plan <br />19- <br />2712 (i) <br />Monitoring & response plan is <br />1111111Z laxoYM-104 <br />UNITHINSTIMP (rev 7/24)02) <br />on site <br />20_ALCC . R 2712 (b) <br />Maintenance & monitoring <br />records <br />21 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />22A—CCR 2630 (d) <br />Annual line leak,detector test <br />23 &_CCR <br />2630 (d) <br />Annual monitoring certification <br />24 <br />CCR 2643 (d) <br />Daily monitoring�of suction <br />piping that is not eoritinuously <br />monitored <br />25 <br />CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gravit, <br />piping that is not continuously <br />monitored <br />27—CCR <br />2662 <br />Upgrade requirements for UST <br />28�CCR 2661 <br />system <br />Permit to repair UST system <br />29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />31 <br />HSC 26298 (b) <br />Permit to temporarily close US' <br />system <br />32 <br />HSC 25298 (c) <br />Permit to close UST system <br />33 <br />HSC 25291 (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />34 <br />CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />35 <br />-CCR 2035(a)(2)(A) Cathodic protection testing <br />36 <br />H&SC 25299(a)(9) Disabling leak detect. devices <br />37 <br />Violation(s) not listed above <br />4 <br />I"', EURTM01531p, - <br />